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العنوان
Evaluation of 3D ultrasonography in diagnosis of congenital uterine anomalies /
المؤلف
Mostafa, Mohamed Emad Yousef.
هيئة الاعداد
باحث / محمد عماد يوسف مصطفى
مشرف / عبدالمجيد فتحي مشالي
مشرف / ماهر شمس الدين حسن
مشرف / محمد عادل عبدالمهدي الهوارى
مناقش / حسام السيد جودة
الموضوع
Hysteroscopy. Hysteroscopy - Complications. Uterine Cervical Diseases.
تاريخ النشر
2023.
عدد الصفحات
online resource (72 pages) :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
1/1/2023
مكان الإجازة
جامعة المنصورة - كلية الطب - قسم امراض النساء والتوليد
الفهرس
Only 14 pages are availabe for public view

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from 99

Abstract

Hysteroscopy (HS) is a frequently utilized procedure for diagnosing and treating intracavitary pathologies in gynecological practice. It is a favored procedure for assessing of infertile women. While different types of ultrasounds scanning for infertility such as baseline or screening ultrasound, follicular monitoring ultrasounds, saline infusion sonograms (SIS) with or without three-dimensional transvaginal ultrasonography (3D-TVS) evaluation are utilized to evaluate uterine cavity. Abdominal ultrasound might be required with any of the above scanning modalities for better assessment of pelvic structures. Thus, the aim of the current study was to evaluate 3D ultrasonography in diagnosis of congenital uterine anomalies. This was an observational study conducted on a total of 25 females (in childbearing period) with fertility problems such as abortion or recurrent abortion, primary or secondary infertility, recurrent preterm labor, or in vitro fertilization (IVF) failure patients attending the Obstetrics & Gynecology Hospital, Mansoura. The current study revealed the following results: •The mean age was 31.64±7.69. The median gravidity, parity, abortion, preterm were 2.0, zero, two, zero respectively. •By using hysterosalpingographic, distance between 2 cornu were <4, =4 and >4 in 76%, 8% and 16% of cases respectively, HSG angle were acute, <7, <70, >70, <75, >75, and <90 in 12%, 28%, 8%, 4%, 32%, 4% and 12% of cases respectively and Fundal cleft were <1 and >1 in 24% and 76% of cases respectively. •By using 3-D ultrasound, double cavity uterus was recorded in all cases (100%). distance between 2 cornu were <4, =4 and >4 in 72%, 12% and 16% of cases respectively and HSG angle were acute, <7, <70, >70, <75, >75, and <90 in 12%, 8%, 4%, 48%, 8% and 20% of cases respectively and Fundal cleft were <1 and >1 in 24% and 76% of cases respectively. •By using office hysteroscopy, most of the studied cases were undergone spetoplasty (88%) while only one case had Bicornuate uterus (4%) and two cases had Bicornuate Bicollis uterus (8%). •Three-dimension US has the ability to diagnose the distance between 2 cornu with a higher sensitivity, specificity and accuracy. •Three-dimension US has the ability to diagnose the angle with a higher sensitivity and moderate specificity, and accuracy. •Three-dimension US has the ability to diagnose fundal cleft with 100% sensitivity, Specificity and Accuracy.